Skip to Main Content

Out-of-Network Providers

Provider Type

  • Physicians

PureCare HSP members should obtain services from any participating provider in Health Net's PureCare HSP provider network. If these services are not available within the participating network, Health Net authorizes services to a qualified non-participating provider in accordance with the Health Net prior authorization procedures below, except in emergencies or as otherwise required by law.

  1. Determine whether an out-of-network provider is necessary and request prior authorization.
  2. Complete and fax the Request for Prior Authorization form to the Health Net Medical Management Department listed on the form.
  3. Allow five business days for Health Net to process elective requests and 72 hours for urgent requests. 
Last Updated: 10/31/2019